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Individual

MRS. MICHELLE P MCKNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
9430 PARK WEST BLVD STE 310, KNOXVILLE, TN 37923-4203
(865) 690-5263
(865) 588-3740
Mailing address
PO BOX 52948, KNOXVILLE, TN 37950-2948
(865) 306-5675
(865) 584-7760

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1812
TN
363AS0400X
Surgical Physician Assistant
1812
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q005020
TN
Enumeration date
09/29/2005
Last updated
06/24/2022
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